Residential green space and seasonal distress in a cohort of tree pollen allergy patients

Raf Aerts, Michiel Stas, Naomi Vanlessen, Marijke Hendrickx, Nicolas Bruffaerts, Lucie Hoebeke, Nicolas Dendoncker, Sebastien Dujardin, Nelly D. Saenen, An Van Nieuwenhuyse, Jean Marie Aerts, Jos Van Orshoven, Tim S. Nawrot, Ben Somers

Research output: Contribution to journalArticle

Abstract

Background: Residential green space may improve human health, for example by promoting physical activity and by reducing stress. Conversely, residential green space may increase stress by emitting aeroallergens and exacerbating allergic disease. Here we examine impacts of exposure to residential green space on distress in the susceptible subpopulation of adults sensitized to tree pollen allergens. Methods: In a panel study of 88 tree pollen allergy patients we analyzed self-reported mental health (GHQ-12), perceived presence of allergenic trees (hazel, alder, birch) near the residence and residential green space area within 1 km distance [high (≥3 m) and low (<3 m) green]. Results were adjusted for patients’ background data (gender, age, BMI, smoking status, physical activity, commuting distance, education level, allergy medication use and chronic respiratory problems) and compared with distress in the general population (N = 2467). Results: Short-term distress [mean GHQ-12 score 2.1 (95% confidence interval 1.5–2.7)] was higher in the study population than in the general population [1.5 (1.4–1.7)]. Residential green space had protective effects against short-term distress [high green, per combined surface area of 10 ha: adjusted odds ratio OR = 0.94 (95% confidence interval 0.90–0.99); low green, per 10 ha: OR = 0.85 (0.78–0.93)]. However, distress was higher in patients who reported perceived presence of allergenic trees near their residence [present vs. absent: OR = 2.04 (1.36–3.07)]. Conclusions: Perceived presence of allergenic tree species in the neighbourhood of the residence of tree pollen allergy patients modulates the protective effect of residential green space against distress during the airborne tree pollen season.

Original languageEnglish
Pages (from-to)71-79
Number of pages9
JournalInternational Journal of Hygiene and Environmental Health
DOIs
Publication statusPublished - 1 Jan 2020

Fingerprint

Seasonal Allergic Rhinitis
Pollen
Alnus
Confidence Intervals
Exercise
Population
Distance Education
Betula
Allergens
Mental Health
Hypersensitivity
Smoking
Odds Ratio
Health

Keywords

  • Emotional distress
  • GHQ-12
  • Mental health
  • Residential green space
  • Respiratory hypersensitivity
  • Tree pollen allergy

Cite this

Aerts, Raf ; Stas, Michiel ; Vanlessen, Naomi ; Hendrickx, Marijke ; Bruffaerts, Nicolas ; Hoebeke, Lucie ; Dendoncker, Nicolas ; Dujardin, Sebastien ; Saenen, Nelly D. ; Van Nieuwenhuyse, An ; Aerts, Jean Marie ; Van Orshoven, Jos ; Nawrot, Tim S. ; Somers, Ben. / Residential green space and seasonal distress in a cohort of tree pollen allergy patients. In: International Journal of Hygiene and Environmental Health. 2020 ; pp. 71-79.
@article{72b4ec9b67974040806da452d6d0f0a9,
title = "Residential green space and seasonal distress in a cohort of tree pollen allergy patients",
abstract = "Background: Residential green space may improve human health, for example by promoting physical activity and by reducing stress. Conversely, residential green space may increase stress by emitting aeroallergens and exacerbating allergic disease. Here we examine impacts of exposure to residential green space on distress in the susceptible subpopulation of adults sensitized to tree pollen allergens. Methods: In a panel study of 88 tree pollen allergy patients we analyzed self-reported mental health (GHQ-12), perceived presence of allergenic trees (hazel, alder, birch) near the residence and residential green space area within 1 km distance [high (≥3 m) and low (<3 m) green]. Results were adjusted for patients’ background data (gender, age, BMI, smoking status, physical activity, commuting distance, education level, allergy medication use and chronic respiratory problems) and compared with distress in the general population (N = 2467). Results: Short-term distress [mean GHQ-12 score 2.1 (95{\%} confidence interval 1.5–2.7)] was higher in the study population than in the general population [1.5 (1.4–1.7)]. Residential green space had protective effects against short-term distress [high green, per combined surface area of 10 ha: adjusted odds ratio OR = 0.94 (95{\%} confidence interval 0.90–0.99); low green, per 10 ha: OR = 0.85 (0.78–0.93)]. However, distress was higher in patients who reported perceived presence of allergenic trees near their residence [present vs. absent: OR = 2.04 (1.36–3.07)]. Conclusions: Perceived presence of allergenic tree species in the neighbourhood of the residence of tree pollen allergy patients modulates the protective effect of residential green space against distress during the airborne tree pollen season.",
keywords = "Emotional distress, GHQ-12, Mental health, Residential green space, Respiratory hypersensitivity, Tree pollen allergy",
author = "Raf Aerts and Michiel Stas and Naomi Vanlessen and Marijke Hendrickx and Nicolas Bruffaerts and Lucie Hoebeke and Nicolas Dendoncker and Sebastien Dujardin and Saenen, {Nelly D.} and {Van Nieuwenhuyse}, An and Aerts, {Jean Marie} and {Van Orshoven}, Jos and Nawrot, {Tim S.} and Ben Somers",
year = "2020",
month = "1",
day = "1",
doi = "10.1016/j.ijheh.2019.10.004",
language = "English",
pages = "71--79",
journal = "International Journal of Hygiene and Environmental Health",
issn = "1438-4639",
publisher = "Elsevier GmbH",

}

Aerts, R, Stas, M, Vanlessen, N, Hendrickx, M, Bruffaerts, N, Hoebeke, L, Dendoncker, N, Dujardin, S, Saenen, ND, Van Nieuwenhuyse, A, Aerts, JM, Van Orshoven, J, Nawrot, TS & Somers, B 2020, 'Residential green space and seasonal distress in a cohort of tree pollen allergy patients', International Journal of Hygiene and Environmental Health, pp. 71-79. https://doi.org/10.1016/j.ijheh.2019.10.004

Residential green space and seasonal distress in a cohort of tree pollen allergy patients. / Aerts, Raf; Stas, Michiel; Vanlessen, Naomi; Hendrickx, Marijke; Bruffaerts, Nicolas; Hoebeke, Lucie; Dendoncker, Nicolas; Dujardin, Sebastien; Saenen, Nelly D.; Van Nieuwenhuyse, An; Aerts, Jean Marie; Van Orshoven, Jos; Nawrot, Tim S.; Somers, Ben.

In: International Journal of Hygiene and Environmental Health, 01.01.2020, p. 71-79.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Residential green space and seasonal distress in a cohort of tree pollen allergy patients

AU - Aerts, Raf

AU - Stas, Michiel

AU - Vanlessen, Naomi

AU - Hendrickx, Marijke

AU - Bruffaerts, Nicolas

AU - Hoebeke, Lucie

AU - Dendoncker, Nicolas

AU - Dujardin, Sebastien

AU - Saenen, Nelly D.

AU - Van Nieuwenhuyse, An

AU - Aerts, Jean Marie

AU - Van Orshoven, Jos

AU - Nawrot, Tim S.

AU - Somers, Ben

PY - 2020/1/1

Y1 - 2020/1/1

N2 - Background: Residential green space may improve human health, for example by promoting physical activity and by reducing stress. Conversely, residential green space may increase stress by emitting aeroallergens and exacerbating allergic disease. Here we examine impacts of exposure to residential green space on distress in the susceptible subpopulation of adults sensitized to tree pollen allergens. Methods: In a panel study of 88 tree pollen allergy patients we analyzed self-reported mental health (GHQ-12), perceived presence of allergenic trees (hazel, alder, birch) near the residence and residential green space area within 1 km distance [high (≥3 m) and low (<3 m) green]. Results were adjusted for patients’ background data (gender, age, BMI, smoking status, physical activity, commuting distance, education level, allergy medication use and chronic respiratory problems) and compared with distress in the general population (N = 2467). Results: Short-term distress [mean GHQ-12 score 2.1 (95% confidence interval 1.5–2.7)] was higher in the study population than in the general population [1.5 (1.4–1.7)]. Residential green space had protective effects against short-term distress [high green, per combined surface area of 10 ha: adjusted odds ratio OR = 0.94 (95% confidence interval 0.90–0.99); low green, per 10 ha: OR = 0.85 (0.78–0.93)]. However, distress was higher in patients who reported perceived presence of allergenic trees near their residence [present vs. absent: OR = 2.04 (1.36–3.07)]. Conclusions: Perceived presence of allergenic tree species in the neighbourhood of the residence of tree pollen allergy patients modulates the protective effect of residential green space against distress during the airborne tree pollen season.

AB - Background: Residential green space may improve human health, for example by promoting physical activity and by reducing stress. Conversely, residential green space may increase stress by emitting aeroallergens and exacerbating allergic disease. Here we examine impacts of exposure to residential green space on distress in the susceptible subpopulation of adults sensitized to tree pollen allergens. Methods: In a panel study of 88 tree pollen allergy patients we analyzed self-reported mental health (GHQ-12), perceived presence of allergenic trees (hazel, alder, birch) near the residence and residential green space area within 1 km distance [high (≥3 m) and low (<3 m) green]. Results were adjusted for patients’ background data (gender, age, BMI, smoking status, physical activity, commuting distance, education level, allergy medication use and chronic respiratory problems) and compared with distress in the general population (N = 2467). Results: Short-term distress [mean GHQ-12 score 2.1 (95% confidence interval 1.5–2.7)] was higher in the study population than in the general population [1.5 (1.4–1.7)]. Residential green space had protective effects against short-term distress [high green, per combined surface area of 10 ha: adjusted odds ratio OR = 0.94 (95% confidence interval 0.90–0.99); low green, per 10 ha: OR = 0.85 (0.78–0.93)]. However, distress was higher in patients who reported perceived presence of allergenic trees near their residence [present vs. absent: OR = 2.04 (1.36–3.07)]. Conclusions: Perceived presence of allergenic tree species in the neighbourhood of the residence of tree pollen allergy patients modulates the protective effect of residential green space against distress during the airborne tree pollen season.

KW - Emotional distress

KW - GHQ-12

KW - Mental health

KW - Residential green space

KW - Respiratory hypersensitivity

KW - Tree pollen allergy

UR - http://www.scopus.com/inward/record.url?scp=85073543941&partnerID=8YFLogxK

U2 - 10.1016/j.ijheh.2019.10.004

DO - 10.1016/j.ijheh.2019.10.004

M3 - Article

AN - SCOPUS:85073543941

SP - 71

EP - 79

JO - International Journal of Hygiene and Environmental Health

JF - International Journal of Hygiene and Environmental Health

SN - 1438-4639

ER -